Annual Report and Accounts - The Great Western Hospital

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Great Western Hospitals NHS Foundation Trust Accounts for the year ended 31 March 2012 Restated 5. Operating Expenses Year Ended Year ended 31 March 31 March 2012 2011 £000 £000 Services from Foundation Trusts 1,575 441 Services from other NHS Trusts 10,001 135 Services from PCTs 4,650 1,189 Services from other NHS bodies 13 0 Purchase of healthcare from non NHS bodies 133 72 Employee Expenses - Executive Directors 855 711 Employee Expenses - Non-Executive Directors 126 127 Employee Expenses - Staff 171,129 118,719 Drug Costs 17,811 13,011 Supplies and services - clinical 22,377 18,416 Supplies and services - general 2,604 1,689 Consultancy services 259 44 Establishment 4,442 2,173 Research and development 656 564 Transport 337 205 Premises 7,942 5,154 Increase / (decrease) in bad debt provision 541 (387) Depreciation on property, plant and equipment 7,620 7,385 Amortisation on intangible assets 252 152 Loss on disposal of property, plant and equipment 73 0 Audit services (Statutory audit) 63 59 Audit services (Other Assurance Services) 13 17 Clinical negligence 5,723 3,842 Patient travel 1,509 909 Car parking and security 177 26 Insurance 187 97 Hospitality 68 67 Legal Fees 854 439 Training courses and conferences 596 551 Other Services 11,519 11,473 Losses, ex gratia & special payments 7 35 Other 1,163 521 275,274 187,835 Staff Exit Packages The Trust has not agreed any staff exit packages in 2011/12 (31 March 2011: £nil). Limitation on auditor’s liability The limitation on the auditor’s liability is £1,000,000 Other Services Other Services - includes cleaning, catering, portering, housekeeping and estates services. The increase in Clinical Negligence relates to the additional contributions for Wiltshire Community Health Services. Services Provided by Foundation Trusts The increase in Services provided by Foundation Trust's relates to payments to Salisbury NHSFT (£1,017k) for accommodation for Wiltshire Community Health Services. Services Provided by Other NHS Trusts The increase in Services from other NHS Trust's relates to payments to the Royal United Hospital for accommodation and medical cover (£7,017k) and Clinical Negligence (£1,935k) for Wiltshire Maternity Services which are operated from that site. Services Provided by PCTs The increase in Services provided by PCTs relates to payments to Bath & North East Somerset PCT (£134k), Somerset PCT (£226k) and Wiltshire PCT (£2,945k) relating to accommodation for Wiltshire Community Health Services. The increase in Employee Expenses, Drugs Costs, Clinical and Non Clinical Supplies, Establishment Expenses, Costs and Patient Travel relate to the increase in expenditure in providing Wilthire Community and Maternity Services. Bad Debt Provision The increase in Bad Debt Provision is due to the Injury Recovery Scheme (£114k) and Overseas Visitors (£67k). Page 193 of 211
Great Western Hospitals NHS Foundation Trust Accounts for the year ended 31 March 2012 6. Operating leases - as Lessee Year Ended Year ended 31 March 31 March 2012 2011 £000 £000 Minimum lease payments 5,599 251 Contingent rents 0 0 Less sublease payments received 0 0 5,599 251 Total future minimum lease payments Year Ended Year Ended 31 March 31 March 2012 2011 Payable: £000 £000 Not later than one year 4,203 231 Between one and five years 4,371 193 After 5 years 52 0 Total 8,626 424 The increase in minimum lease payments is due to the merger with Wiltshire Community Services and relate to building and equipment utilised in the delivering of these services at a total cost of £5,011k. Page 194 of 211
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Great Western Hospitals NHS Foundat
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CONTENTS 1 Chair and Chief Executiv
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The Great Western Hospital became a
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Underpinning this, our values are t
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3.2 Principal activities of the Tru
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Further Companies Act Disclosures 3
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Business Review / Management Commen
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3. To ensure that staff are proud t
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6. To work in partnership with othe
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With funding received from the Depa
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3.13 Contractual arrangements The T
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Patient care 3.16 Development of se
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3.20 New or significantly revised s
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3.24 Complaints Handling For the Tr
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The Trust actively responds to feed
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3.25 Using patient experience to dr
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The table below shows the CQUIN res
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Action plans based on the Quarterly
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3.27 Development of services with o
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3.29 Health and Overview Scrutiny C
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3.32.5 Interests held by Directors
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4.3 Attendance at meetings of the R
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4.7 Board of Directors’ employmen
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Remuneration Name Title Salary (Ban
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4.8.4 Additional disclosures The Tr
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5.1.2 Elected Governors - Public Co
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5.1.4 Nominated Governors Name Nomi
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5.1.6 Lead and Deputy Lead Governor
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“Eyes and Ears” - An initiative
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5.1.12 Nominations and Remuneration
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Rowland Cobbold, Non-Executive Dire
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Lyn Hill-Tout, Chief Executive (unt
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5.2.3 Length of appointments of Non
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5.2.6 Attendance at meetings of the
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5.3 Audit Committee 5.3.1 The Audit
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5.4 Directors’ responsibility for
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Note: Angela Gillibrand and Rowland
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The Mental Health Act / Mental Capa
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The Trust has a wide range of staff
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5.8.6 Membership Strategy To encour
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5.9 Code of Governance Disclosure S
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6 QUALITY REPORTS Part 1 - Statemen
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Part 2 - Priorities for improvement
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6.3.1 Review of services and partic
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The trust chose not to contribute t
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No. Audit Title Reconstruction Audi
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The reports of 273 local clinical a
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No. Audit Title 15. Non Invasive Ve
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No. Audit Title Antibiotic Prescrib
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No. Audit Title 50. NICE CG111 - No
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Part 3 - Other Information 6.4 Over
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GRAPH - Clostridium Difficile WCHS2
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GRAPH - Medicine incidents by type
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Harm from falls WCHS: It was not po
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• Rolling educational programme w
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CHART - Relative risk SW Acute Trus
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Following the Trust’s merge in Ju
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Priority 7: Participation on the Re
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All the guidelines have been dissem
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This has been achieved by: • Mont
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• As a result of complaints and c
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CHART - National Sentinel Stroke Au
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Priority 16: To ensure patients are
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6.5 Care Quality Commission (CQC) I
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6.7 Statement of Directors’ respo
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a Quality Account and the opportuni
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Overall, the Trust has good plans t
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Graph 1 - GWH carbon footprint (ton
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The Trust is working with local bus
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Graph 9 - Total tonnes of waste pro
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The Trust will be working towards a
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Detailed below is a summary of the
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Wiltshire Community Health Services
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providers. Feedback obtained across
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The Musculoskeletal Disorder team a
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10.2.2 Governance risk rating The t
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11 OTHER DISCLOSURES IN PUBLIC INTE
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13 AUDITOR’S OPINION AND CERTIFIC
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14 ANNUAL GOVERNANCE STATEMENT 14.1
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• the key controls to mitigate ag
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14.4.6 Organisation Culture The Tru
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14.5 Review of economy, efficiency
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Process Board Role and Conclusions
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15 GLOSSARY OF TERMS BARS - Blood A
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16 FOREWORD TO THE ACCOUNTS 16.1 Fo
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1 CHAIR AND CHIEF EXECUTIVE’S REP
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2 OUR TRUST 2.1 Vision - Your healt
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3 DIRECTOR’S REPORT General Compa
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3.3.2 The Brunel Treatment Centre O
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14 In relation to the use of financ
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Checklist, a World Health Organisat
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organisations to adapt to these cha
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TABLE - Wiltshire Community Activit
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The Trust is currently reviewing it
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Enhanced Quality Governance Reporti
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The Trust is using its foundation t
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of implementing the programme. Incl
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As part of the corporate back offic
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What patients and service users hav
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3.25.3 Patient Surveys The PICKER I
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3.25.5 Annual Inpatient Survey The
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CHART - Percentage of patients who
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3.28 Working with our partners to s
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3.31 Statement as to disclosures to
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4 REMUNERATION REPORT Information n
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4.5 Remuneration of senior managers
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4.8 Pension Benefits and Remunerati
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The accounting policies for pension
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5 NHS FOUNDATION TRUST CODE OF GOVE
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There is currently a vacancy for th
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5.1.5 Attendance at meetings of the
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In addition, in preparing the Trust
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5.1.11 Council of Governors Meeting
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5.2 Board of Directors 5.2.1 The Bo
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Roger Hill, Non-Executive Director
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Helen Bourner, Director of Business
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5.2.4 Statement about the balance,
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5.2.9 Significant Commitments of th
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5.3.2 The work of the Audit, Risk a
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5.6 Nominations Committee 5.6.1 The
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5.7 Mental Health Act / Mental Capa
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5.8 Membership 5.8.1 Membership The
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The groupings of the members in the
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5.8.8 Membership development propos
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G.1.2 - The Board should clarify in
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and Governors. We have also commenc
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Regulation 1. To sustain compliance
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Audit / confidential enquiry title
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Audit Title Submitted/Required (%)
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No. Audit Title Learning From The P
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No. Audit Title 8. Diabetes Ketoaci
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No. Audit Title Audit Summary/Learn
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No. Audit Title Audit Summary/Learn
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6.3.4 Registration with Care Qualit
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Steering Group, provides a quarterl
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Clostridium Difficile: The goal for
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Priority 2: To reduce harm associat
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Priority 3: To reduce harm associat
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Pressure ulcers Community: The comm
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Safe care of the patient receiving
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CHART - Serious Incidents grouped b
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The three top serious incident caus
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West conference call in August 2011
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Priority 9: To review the clinical
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Priority 12: To undertake nutrition
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• A regular ongoing training prog
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Community: • Q1 Performance April
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The survey results demonstrate that
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6.6 Performance against key nationa
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6.8 Statements from Primary Care Tr
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6.8.4 Wiltshire Primary Care Trust
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6.9 Independent Assurance Report to
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7 SUSTAINABILITY REPORTING 7.1 Stro
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Page 357 and 358: 8 EQUALITY REPORTING 8.1 Equality d
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Page 369 and 370: 10.3.2 Explanation for differences
Page 371 and 372: 12 STATEMENT OF ACCOUNTING OFFICER
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Page 375 and 376: 14.4 The risk and control framework
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Page 381 and 382: Steps which have been put in place
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Page 385 and 386: SHA - Strategic Health Authority SW
Page 387 and 388: Great Western Hospitals NHS Foundat
Page 403: Great Western Hospitals NHS Foundat
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Annual Report and Accounts - The Great Western Hospital

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